Aff - Dame, Barbara_5/10/2013 AFFIDAVIT FOR COLLECTION OF
SMALL ESTATES PURSUANT TO I.C. 29-1-8-1
Clayton Dame being first duly sworn upon his oath says: Lk F
1. That Barbara Louise Dame died intestate on the 15th day of January, 2012. IIIJJJ��1 ���
2. That the sole heirs-at-law of the decedent are as follows:
Clayton Dame - Spouse
Ian Dame - Son
Heath Dame - Son
3. That the value of the gross probate estate of the decedent does not exceed Fifty Thousand
Dollars ($50,000.00)
4. That more than forty-five (45) days have elapsed since the death of the decedent.
5. That no application or petition for the appointment of a personal representative is pending
or has been granted in any jurisdiction.
6. That the entire probate estate of the decedent consist of the following assets:
Real property at 2388 E Dead Level Rd., Hazleton, IN 47640
7. That this affiant, as claimant pursuant to I.C. 29-1-8-1, is entitled to the above assets and
will distribute the funds to the persons entitled thereto.
8. That all debts and liabilities of the decedent have been paid.
9. That no inheritance tax is due by the reason of the decedent's death.
10. And further Affiants sayeth not.
Clayton Dame
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FILED
MAY 10 2013 • 6
GIBSON COUNTY AUDITOR
STATE OF INDIANA )
) SS:
COUNTY OF GIBSON )
Before me, a Notary Public in and for said County and State, personally appeared
Clayton Dame, known to me (or proved to me on the basis of satisfactory evidence) to be the
person whose name is subscribed to the within the foregoing AFFIDAVIT FOR COLLECTION
OF SMALL ESTATES PURSUANT TO I.C. 29-1-8-1, and acknowledge the execution of said
document and, who having been duly sworn, stated that the representations contained therein are
true. c t
WITNESS my hand and Notarial Seal this \(\`� day of €Q'l.& 2013.
sp • J. •e . Huff—No ary Public
•. ky ?f ' Resident of Gibson County, Indiana
• My Commission Expires: October 28, 2015
4' et 11100'
A PART OF THE NORTHWEST QUARTER OF FRACTIONAL SECTION 27, TOWNSHIP 1 NORTH.
RANGE 10 WEST IN WASHINGTON TOWNSHIP, GIBSON COUNTY, INDIANA AND FURTHER
DESCRIBED AS FOLLOWS:
COMMENCE AT THE NORTHWEST CORNER OF FRACTIONAL SECTION 27, TOWNSHIP I
NORTH, RANGE 10 WEST AND MEASURE EAST, A DISTANCE OF 510 LINKS (336.6 FEET);
THENCE MEASURE SOUTH, A DISTANCE OF 27.46 CHAINS (1812.36 FEET) TO AN IRON SET IN
DEED LEVEL, COUNTY ROAD AND MARKING THE TRUE POINT OF BEGINNING: THENCE
MEASURE NORTH 0 DEGREE 0 MINUTE 0 SECOND EAST,A DISTANCE OF 745.46 FEET TO A 5/8
INCH IRON AND T-POST SET; THENCE MEASURE NORTH 90 DEGREES 0 MINUTE 0 SECOND
EAST, A DISTANCE OF 442.94 FEET TO A 5/8 INCH IRON SET; THENCE MEASURE SOUTH 0
DEGREE 30 MINUTES 57 SECONDS EAST, A DISTANCE OF 344.90 FEET TO A 5/8 INCH IRON
FOUND; THENCE MEASURE SOUTH 0 DEGREE 30 MINUTES 57 SECONDS EAST. A DISTANCE
OF 375.00 FEET TO A 5/8 INCH IRON FOUND;
THENCE MEASURE NORTH 83 DEGREES 40 MINUTES 29 SECONDS WEST,ALONG SAID ROAD,
A DISTANCE OF 194.85 FEET TO AN IRON; THENCE MEASURE SOUTH 79 DEGREES 34
MINUTES 31 SECONDS WEST,ALONG SAID ROAD,A DISTANCE OF 260.06 FEET TO THE POINT
OF BEGINNING AND CONTAINING 7.338 ACRES, BUT SUBJECT TO THE NORTH PART OF A
COUNTY ROAD OFF THE SOUTH SIDE THEREOF. EXCEPTING ALSO AN UNDIVIDED ONE-
FOURTH (1/4) INTEREST IN AND TO ALL COAL, OIL, GAS AND OTHER MINERALS CONVEYED
BY MINERAL DEED DATED FEBRUARY 6, 1986, AND RECORDED FEBRUARY 7, 1986. IN DEED
DRAWER 5, CARD 4330, AND AN UNDIVIDED ONE-FOURTH (1/4) INTEREST IN AND TO ALL
COAL, OIL, GAS AND OTHER MINERALS CONVEYED BY MINERAL DEED DATED AUGUST 3,
1987, AND RECORDED AUGUST 18, 1987, IN DEED DRAWER 6, CARD 667, OFFICE OF THE
RECORDER,GIBSON COUNTY, INDIANA.
SUBJECT TO ALL RIGHTS-OF-WAY, EASEMENTS, CONDITIONS, COVENANTS AND
RESTRICTIONS, IF ANY OF RECORD AND ALSO TO APPLICABLE ZONING LAWS. -
Address: 2388 E Dead Level Rd.,Hazleton, IN 47640
Parcel ED: 26-02-27-100-002.712-017